Multidisciplinary approach in the management of uterine intravenous leiomyomatosis with intracardiac extension: case report and review of literature

Gianluca Marrone, Francesca Crinò, Marco Morsolini, Settimo Caruso, Roberto Miraglia

Research output: Contribution to journalReview articlepeer-review

Abstract

Uterine intravenous leiomyomatosis is an uncommon tumor, usually arising from the uterus, with nodular masses which extend intravascularly over variable distances and may reach the inferior vena cava, right atrium, and pulmonary arteries. Early diagnosis and surgical intervention are crucial as intracardiac leiomyomatosis not only causes cardiac symptoms but may result in pulmonary embolism and sudden death. Complete tumor resection is key in disease management, thus rendering cardiac-extending uterine intravenous leiomyomatosis one of the most challenging conditions for surgical treatment. The use of interventional radiology procedures can facilitate the surgical approach. We report the case of a massive pelvic recurrence of uterine leiomyomatosis with intracardiac extension and pulmonary embolism, analyzing management and surgical outcomes, highlighting the role of interventional radiology during the therapeutic pathway. Nonetheless, there are currently very few data available concerning the use of interventional radiology procedures in the therapeutic strategy of uterine intravenous leiomyomatosis with intracardiac extension.

Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalJournal of Radiology Case Reports
Volume13
Issue number7
DOIs
Publication statusPublished - Jul 2019

Keywords

  • Echocardiography, Doppler
  • Female
  • Heart/diagnostic imaging
  • Heart Neoplasms/complications
  • Humans
  • Leiomyomatosis/complications
  • Middle Aged
  • Neoplasm Invasiveness/diagnostic imaging
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler, Color
  • Uterine Neoplasms/complications
  • Uterus/diagnostic imaging

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